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COMSATS Institute of Information Technology Virtual Campus, Islamabad

Admission Form (Undergraduate)


Form Number: Session : FA !"#$ % FA#$ &
Study Center:
Section One: Candidate Information
Name [In Bloc
!etters":''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
Fat#er$s Name [In Bloc
!etters":'''''''''''''''''''''''''''''''''''''''''''''''''''
%ate of Birt#: '' ( '' ( '''' % dd( mm( yyyy&
CNIC & Form B No : % &% &% &% &% &% &% &% &% &% &% &% &% &% &% &
'ender: Male
Female
Nationality :
''''''''''''''
%omicile :
''''''''''''''''
CNIC (y)e: Self )arent ( *uardian
Select *rogram :
First Choice: '''''''''''''' Second Choice:''''''''''''''' Third Choice:
''''''''''''''
Section (+o (A) : Contact Information
,mail:
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Current .ailing Address:
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City : ------------------------------- (ele)#one :
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*ermanent .ailing Address:
Admission Form: FA!! /012
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)lease a+, one
passport si-e
photograph here
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/ring One for
0TS
Test Slip
COMSATS Institute of Information Technology Virtual Campus, Islamabad
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City: ------------------------------- (ele)#one:
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Section (+o (B): ,ducational %etails
Certificate/Degree Major Subjects Year Board/University Total Marks Obtained Marks
Section (+o (C): N(S Score (if already gi3en)
Test Center Test Date Roll o! Total Marks Obtained Marks
Section (+o (%): N(S 4egistration (If 4egistered for N(S in Some
ot#er Center)
TS Center a"e TS Roll o
Admission Form: FA!! /012
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COMSATS Institute of Information Technology Virtual Campus, Islamabad
Section Four: UN%,4(A5IN'
I, Mr1 ( Ms1 ------------------------- --Son ( 2aughter of
--------------------------- hereby solemnly declare that the information pro3ided
on this form is true and correct to the best of my 4no5ledge1 I ha3e read and
understood all the instructions pro3ided in the current prospectus . agree to abide
by them1 I further underta4e that I ha3e su+cient 6nancial resources re7uired for
the program of study at COMSATS Institute of Information Technology1
I also solemnly a+rm, declare and underta4e that:
a8 I shall abide by the rules and regulations enforced at CIIT at present and
those 5hich may be enforced at any time in the future1
b8 I shall conform strictly to the code of conduct for the students of CIIT1
c8 I shall at all times should respectful beha3ior to5ards management, faculty
and my fello5 students1
d8 I shall not, through my act, speech or gesture, incite any feelings, 5hich are
derogatory to any sect, ethnic group, caste, religion, creed, se,, or place of
origin1
e8 I shall not indulge in any political acti3ity, including unionism or political
groupings1
f8 I shall protect and preser3e the property of CIIT at all times and shall ma4e
all out e9orts to pre3ent others from causing any damage or destruction to
the Institute:s property1
g8 I shall fully abide by the decisions of teachers, 3arious discipline committees
constituted for the purpose of ensuring and enforcing discipline and good
order in the institute and of other authorities1
h8 I underta4e to pay fees and other charges regularly by the due date, failing
5hich I 5ould be liable to pay late fees1
i8 If I am found in3ol3ed in any unla5ful acti3ity in contra3ention of the abo3e
terms and conditions at any stage during my stay at CIIT, the institute shall
ha3e the right to cancel my admission 5ithout notice1
Signature of Applicant '''''''''''''''''''''''''''''''''''
Admission Form: FA!! /012
$
COMSATS Institute of Information Technology Virtual Campus, Islamabad
*uardian Signature '''''''''''''''''''''''''''''''''''
2ate '' ( '' ( '' %dd ( mm ( yyyy &
C#ec list
#1 )rinted copy of Admission form
!1 )aid Challan Form or 2emand 2raft()ay Order of ;<; #,"""(= in fa3or of >CIIT
Virtual Campus, Islamabad>
?1 Si, recently ta4en @? cm , ! cm8 color photographs
$1 T5o attested Copies of C0IC or Form=/ issued by 0A2;A @0ational 2atabase
;egistration Authority8
A1 T5o attested copies of all academic certi6cates( degrees( e7ui3alent
certi6cates1
B1 Cope Certi6cate(A+da3it @To be notari-ed on ;s1 !"(= Stamp )aper8
mandatory for result a5aiting applicants only1
D1 Enderta4ing @To be notari-ed on ;s1 !"(= Stamp )aper8 mandatory for all
applicants1
F1 Any other rele3ant document@s81
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For O6ce Use Only
Admission of Mr1 ( Ms1 ''''''''''''''''''''''''''''''''''' in
)rogram'''''''''''''''''''' ha3ing Form 0umber ''''''''''''''' is
)ro3isionally Appro3ed 0ot Appro3ed
'''''''''''''''''''''''''''''''''''''''''''
In Charge Admissions (
Con3enor Admissions
Committee
Admission Form: FA!! /012
$
COMSATS Institute of Information Technology Virtual Campus, Islamabad
2ate: '' ( '' ( '''' %dd(mm(yyyy&
Admission Form: FA!! /012
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